MR. MICHAEL ANTHONY BLACK (NPI# 1437703873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437703873 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL ANTHONY BLACK |
| Credential | MS |
| Practice Address |
230 Main Street Ext Middletown CT 06457-4470 |
| Practice Telephone | 8603435303 |
| Practice Fax Number | 8603443339 |
| Mailing Telephone | 8603435303 |
| Mailing Fax Number | 8603443339 |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2019-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699061390 | Michael Richard Black | Psychologist | 2913 N Commonwealth Ave Rm 301, Saint Joseph Hospital Campus, Manor Building, Chicago, IL 60657-6211 | 2011-06-22 |
| 1659392256 | Michael Darryl Black | Surgery | 927 45th St Ste 301, West Palm Beach, FL 33407-2450 | 2006-07-21 |
| 1104488816 | Michael David Black | Occupational Therapist | 600 N Robbins Rd, Boise, ID 83702-4565 | 2019-07-02 |
| 1376016873 | Michael Vincent Black | Specialist/Technologist | 535 E 70th St, New York, NY 10021-4823 | 2019-01-07 |
| 1750858072 | Michael R Black | Registered Nurse | 901 Rainier Ave S, Seattle, WA 98144-2839 | 2018-10-24 |
| 1134652217 | Michael Black | Student in an Organized Health Care Education/Training Program | 700 Lawrence Expy, Santa Clara, CA 95051-5173 | 2017-04-06 |
| 1780124560 | Michael W Black | Case Manager/Care Coordinator | 65 Messimer Dr, Newark, OH 43055-1874 | 2017-02-28 |
| 1851732499 | Michael Anthony Black | Marriage & Family Therapist | 1313 E Maple St, Bellingham, WA 98225-5708 | 2013-07-11 |
| 1952655888 | Michael Emery Black | Physical Therapist | 2525 S 135th Ave, Omaha, NE 68144-2424 | 2012-10-30 |
| 1659679199 | Michael Black | Counselor | 1212 S Broadway, Suite 200, Denver, CO 80210-1582 | 2011-03-08 |
| Street Address |
230 MAIN STREET EXT |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-4470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518948025 | Gilead Community Services, Inc. | Clinic/Center | 230 Main Street Ext, Middletown, CT 06457-4470 | 2005-11-10 |
| 1912531138 | Sharma Piersall | Social Worker | 230 Main Street Ext, Middletown, CT 06457-4470 | 2020-02-26 |
| 1518405059 | Psychiatry Associates of Connecticut | Psychologist | 230 Main Street Ext, Middletown, CT 06457-4470 | 2017-02-04 |
| 1225571508 | Edward Ureta | Counselor | 230 Main Street Ext, Middletown, CT 06457-4470 | 2016-11-18 |
| 1104372879 | Emily Bronson Forman | Counselor | 230 Main Street Ext, Middletown, CT 06457-4470 | 2016-08-31 |
| 1548657265 | Debra J Bailey | Counselor | 230 Main Street Ext, Middletown, CT 06457-4470 | 2015-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| Find all providers in zip 06457 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033686514 | Allyson Leigh Licese | Counselor | 28 Russett Ln, Middletown, CT 06457-5803 | 2018-11-01 |
| 1841649415 | John Stephen Silvani | Counselor | 4302 Roosevelt Blvd, Middletown, OH 45044-6625 | 2016-06-06 |
| 1750782207 | Jennifer A. Mackechnie | Counselor | 5 Russett Rd, Middletown, RI 02842-5326 | 2014-09-15 |
| 1801206347 | Ellen Bloom | Counselor | 7 Randall Hts, Middletown, NY 10940-4615 | 2014-05-06 |
| 1265855878 | Scott Mcguinness Counseling Services, LLC | Counselor | 37 Roberts St, Middletown, CT 06457-4634 | 2014-02-03 |
| 1508295676 | Theodora Ann O'neill | Counselor | 168 New Monmouth Rd, Middletown, NJ 07748-2231 | 2013-11-08 |
| 1669750782 | Melissa M Brady | Counselor | 2279 Goshen Tpke, Middletown, NY 10941-4032 | 2011-07-22 |
| 1427367457 | Samuel R Cawley | Counselor | 5123 Town Rdg, Middletown, CT 06457-1638 | 2010-09-24 |
| 1316052939 | Janice Dale Freeman | Counselor | 8 Highland Avenue, Suite 01, Middletown, NY 10940 | 2006-08-21 |
| 1811598964 | Jamie Kleiner | Counselor | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2020-11-05 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
Please comment or provide details below to improve the information on MR. MICHAEL ANTHONY BLACK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.